Membership application

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The ILA is calling to join forces around the world to develop new technologies to extend the period of life in good health and the lifespan for all people. We established the wide network of activists in more than 60 countries. Please read the ILA Manifesto before to send us your Membership Application Form. The fields with the mark (*) are required.

Please choose the type of membership you prefer *

Federated Member

ILA Branch

Honorary Member

Your full name *

Your position in the organization *

Your organization name *

The postal address of your organization *

Postal/ZIP code *

City *

Country *

Province/State

Phone number to contact you *

Fax number

E-mail to contact you *

Site of your organization

By sending this form I confirm that I have read the ILA Manifesto, and I express my readiness to support the development of the healthy longevity technologies by means listed in the Manifesto. *